DR Congo: Rebels attack Ebola hospital in North Kivu
April 20, 2019
Militiamen in the DRC's North Kivu province attacked another hospital in their most recent assault on organizations fighting Ebola. The city of Butembo in North Kivu province is at the center of the current epidemic.
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Rebels in the Democratic Republic of the Congo attacked a hospital on Saturday, in the latest in a series of attacks on Ebola treatment centers and hospitals in the region.
One of the militants was killed and four more arrested after the attack on the Katwa hospital in the city of Butembo in the northern province of North Kivu, said Butembo Mayor Sylvain Kanyamanda.
Butembo city's deputy mayor, Patrick Kambale Tsiko, told the Associated Press news agency that the attackers were armed with machetes and tried to burn down the center.
The attack came one day after a World Health Organization doctor, Richard Valery Mouzoko Kiboung, was shot dead in an assault by armed militiamen on Butembo University Hospital, according to the WHO.
WHO said the epidemiologist had been deployed to help combat Ebola in the region.
Tsiko cited witnesses as saying the Friday attackers wrongly blamed foreigners for bringing the deadly virus to the region.
Attacks hamper medical efforts
The attacks by rebels, as well as community resistance, have further complicated efforts to contain what has become the second-deadliest Ebola virus outbreak in history.
The number of new cases jumps each time treatment and prevention work is disrupted — the disease can spread quickly and can be fatal in up to 90% of cases.
Health workers battle rumors
DRC declared its tenth outbreak of Ebola in August 2018, in northeastern North Kivu province, before the virus spread into the neighbouring Ituri region.
The DRC's North Kivu region had never faced an outbreak of the hemorrhagic fever before, and health workers have battled misinformation and rumors.
Some residents did not even believe Ebola was a real disease, while others try to avoid treatment if they fall ill.
"The fear of being forcibly hospitalized adds to the poor public image of Ebola treatment centers," Natalie Roberts, head of emergencies for the medical charity Doctors Without Borders, wrote earlier this month. "These structures are associated with a life-threatening illness, isolation and the use of protective equipment which makes the staff unrecognizable and intimidating."
In North Kivu and Ituri, around 1,300 people have already contracted Ebola, and more than 850 have succumbed to the virus.
In an attempt to curb the outbreak, around 100,000 people have already received an experimental Ebola vaccine in the region.
Ebola: Fight against the deadly virus
Despite the highest safety standards, people in Europe and the US have been infected with the Ebola virus. Protective suits and airports checks are being used to prevent the further spread of the disease.
Image: picture-alliance/dpa/J. Woitas
Protective clothing
Proper protective clothing for doctors and nurses is critical. All exposed skin must be covered with a material that cannot be penetrated by the virus. But the suit alone isn't enough: Proper procedure is also important.
Suiting up
Health care workers must practice correctly putting on a protective suit, as seen here at the special isolation unit in Dusseldorf. New suits are used every time, so there is no risk of infection when getting dressed. Unprotected workers are therefore able to help.
Image: picture-alliance/dpa/Federico Gambarini
Completely separate
The patient rooms in the Dusseldorf isolation unit are completely shielded from the outside world. Air is filtered, and wastewater must go through a separate treatment process. The protective suits, used at all times in the ward, are kept at positive pressure. These measures go further than is necessary: While Ebola can be transmitted by contaminated objects, the virus is not airborne.
After the patient is treated, the entire suit is sprayed from the outside with a disinfectant to kill off any potential viruses. Only after this shower can the suit be removed - cautiously.
Image: picture-alliance/dpa/Sebastian Kahnert
Outside help
When removing the protective suit, health care workers must exercise extreme caution. Using permanently installed protective gloves, outside assistance can be provided without coming into direct contact with the suit. After use, the suit is immediately disposed of and burned.
Image: picture-alliance/dpa/Federico Gambarini
Infected nurses
Despite the high safety standards, a total of three nurses in Spain and the United States have contracted the disease. The circumstances surrounding the infection have not yet been clarified. The nurses' homes (as seen here in Texas) were sealed off and disinfected after the discovery of the transmission.
Image: Reuters/City of Dallas
Protection in Africa
Doctors and nurses in West Africa have now also been outfitted with protective suits. However, these do not always meet the standards deemed necessary for effective protection. Sometimes, small areas of skin are left unprotected, or the material used in the suit is permeable. In addition, putting the suit on and removing it can be risky.
Image: picture alliance/AP Photo
Isolating the dead
Extreme caution is also necessary at the funerals of people who have died of Ebola. A West African tradition, which sees the family of the deceased wash the body has led to many new infections. For mourning friends and family, these strict isolation measures are often hard to understand.
Image: Reuters/James Giahyue
Tent as isolation units
In a region where medical care is extremely underdeveloped, such an outbreak provides a daunting challenge. Infected people, like here in Liberia, are cared for in hastily constructed tents. But even a country like Germany would probably be overwhelmed by such an epidemic. At the moment, the country only has around 50 beds set up in isolation units.
Image: Zoom Dosso/AFP/Getty Images
Incineration instead of sunlight
In some of the affected West African regions, contaminated suits are hung out in the sun in an attempt to disinfect them for further use. But it's much safer to burn the clothing immediately after use, as seen here in Guinea. However, supply shortages and the high prices of suits make such advice difficult to follow. Protective clothing can cost between €30 and €200 ($40-$250).
Image: Cellou Binania/AFP/Getty Images
Airport controls
Air travelers represent the biggest threat when it comes to transmission of the virus over long distances. For this reason, travelers' temperatures are now being monitored at some airports. However, this method does not provide absolute security: Ebola's incubation period is up to 21 days.
Image: Pius Utomi Ekpei/AFP/Getty Images
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The latest in a string of attacks
UN Secretary General Antonio Guterres on Friday condemned the Butembo University Hospital attack and called on Congolese authorities to bring the perpetrators to justice.